GRACE HOLLERAN LA PORTE DPT
NPI 1154155653
Physical Therapist in Fayetteville, NC

Active since August 27, 2024Accepts Medicare Assignment
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304(910) 484-4653(910) 483-9256 Get Directions Write a Review

NPPES record last updated: December 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Holleran La Porte Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE HOLLERAN LA PORTE DPT (NPI 1154155653) is an individual physical therapist in Fayetteville, North Carolina, licensed in North Carolina (P24406) and active in the NPI registry since August 2024. She maintains a secondary practice location in Fairbanks and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154155653
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameGRACE HOLLERAN LA PORTECredential: DPT
Location Address1991 FORDHAM DR STE 102Fayetteville, NC 28304-3774
Mailing Address1991 Fordham Dr Ste 102Fayetteville, NC 28304-3774 · (910) 484-4653 · Fax (910) 483-9256
Fax(910) 483-9256
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
Last NPPES UpdateDecember 7, 2025
NPPES CertifiedDecember 7, 2025
NPI 1154155653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in NC · P24406 Licensed in WA · PT61628723 Licensed in AK · 246331 Licensed in NY · 052932
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1991 FORDHAM DR STE 102, Fayetteville, NC 28304

Secondary Practice Location 1

Location 13455 Rewak Dr Ste 106Fairbanks, AK 99709-5024 · Phone (907) 457-5322

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grace Holleran La Porte Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709313281
PECOS Enrollment IDI20241223000228, I20251021002070

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Occupational Therapist (Hand)
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Physical Therapist (Orthopedic)
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Occupational Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR STE 102
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace La Porte's NPI number?

The NPI number for Grace La Porte is 1154155653. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Grace La Porte located?

Grace La Porte practices at 1991 Fordham Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 484-4653.

What is Grace La Porte's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Grace La Porte enrolled in Medicare?

Yes. Grace La Porte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grace La Porte accept?

Health plans from Blue Cross and Blue Shield of NC, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Grace La Porte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace La Porte was last updated on December 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.